Organization
GENOVATIONS PHARMACY LLC
Active
Other names
Genovations Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA KIM (PHARMACY OPERATIONS MANAGER)
(832) 701-0422
Entity
Organization
Contact information
Practice address
10301 STELLA LINK RD STE C, HOUSTON, TX 77025-5447
(832) 941-0850
(832) 941-0849
Mailing address
10301 STELLA LINK RD STE C, HOUSTON, TX 77025-5447
(832) 941-0850
(832) 941-0849
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
29959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151753
PK
—
Enumeration date
09/12/2014
Last updated
05/05/2015
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